Provider Demographics
NPI:1881651560
Name:FOX, WILLIAM BARTRAM (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:BARTRAM
Last Name:FOX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4 KING HORN DR
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-2523
Mailing Address - Country:US
Mailing Address - Phone:508-548-4110
Mailing Address - Fax:508-833-8318
Practice Address - Street 1:68B ROUTE 6A
Practice Address - Street 2:BRIAR PATCH MEDICAL ASSOCIATES
Practice Address - City:SANDWICH
Practice Address - State:MA
Practice Address - Zip Code:02563
Practice Address - Country:US
Practice Address - Phone:508-833-3285
Practice Address - Fax:508-833-8318
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA59349207R00000X
VT207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ07149OtherBLUECROSS BLUESHIELD
04-01209OtherUNITED HEALTHCARE
MA6530OtherHARVARD PILGRIM HEALTH CA
MA9765611Medicaid
MA761758OtherTUFTS HEALTH PLAN
B10320301OtherCIGNA
B74909Medicare UPIN
MA9765611Medicaid